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1376347237
CHARLZ BISONGEBOBETCHU BISONG
WINSTON SALEM, NC
NPI
1376347237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2025-04-01
Last Update Date
2025-04-01
Business Address
CHARLZ BISONGEBOBETCHU BISONG DO
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2694
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Mailing Address
CHARLZ BISONGEBOBETCHU BISONG DO
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2694
Copy
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